Term
| Which side does the white lead go on for an EKG? |
|
Definition
| White on Right, smoke over fire |
|
|
Term
| How long should you check the pulse in ACLS? |
|
Definition
|
|
Term
| Which drugs can go down the ET tube? |
|
Definition
| LEAN - lido, epi, atropine, narcan |
|
|
Term
| What do you do right after you shock someone? |
|
Definition
|
|
Term
| what is decompression used for with a NG tube? |
|
Definition
|
|
Term
| What is a straight suction tube called? |
|
Definition
|
|
Term
| What is the biggest size of Levin tube that can be used in the nose? |
|
Definition
|
|
Term
| What size Levin suction tube can be used in neonates? |
|
Definition
|
|
Term
| What size Levin tube should be used in adults? |
|
Definition
|
|
Term
| Which type of suction tube is a double lumen? |
|
Definition
Salem Sump
Levin = single lumen |
|
|
Term
| Which type of suction tube can be used for decompression and feeding or fluid instillation? |
|
Definition
|
|
Term
| Which type of tube is mostly used for feedings? |
|
Definition
|
|
Term
| What size of naso-enteric tube should be used in adults? |
|
Definition
|
|
Term
| What MUST you do before you start tube feedings through a tube? |
|
Definition
| Get an Xray to confirm placement |
|
|
Term
| How can you assure placement of a suction tube before suctioning? |
|
Definition
| Press air into stomach through the tube and listen for air in stomach with stethoscope |
|
|
Term
| How is the length measured for a NG tube? |
|
Definition
| tip of nose around ear to xiphoid process |
|
|
Term
| What position should a pt be in for NG insertion? |
|
Definition
| sitting with neck slightly flexed |
|
|
Term
| For tube feedings (gavage) what position does the pt have to be in? |
|
Definition
|
|
Term
| Which is better, continuous tube feedings or bolus? |
|
Definition
| Continuous - less risk for aspiration |
|
|
Term
| What types of meds can you never crush? |
|
Definition
|
|
Term
| How much water do you have to flush between each med given through a tube? |
|
Definition
|
|
Term
| how much water do you flush after all the meds have been given thru a tube? |
|
Definition
|
|
Term
| When do you remove the stylet of a NE tube? |
|
Definition
| AFTER confirmation of placement with XR |
|
|
Term
| What should be considered if long term tube feedings will be needed? |
|
Definition
|
|
Term
| How big of catheter should be used for a newborn? |
|
Definition
|
|
Term
| What size of Catheter should be used for adults? |
|
Definition
|
|
Term
| Can a pt with a UTI be give a catheter? |
|
Definition
|
|
Term
| What type of catheter is a Robinson? |
|
Definition
|
|
Term
| Which type of catheter is a one time use, single lumen and good for intermittent emptying? |
|
Definition
|
|
Term
| Which type of catheter is used for accurate UOP monitoring? |
|
Definition
|
|
Term
| Which type of catheter should be used for BPH? |
|
Definition
|
|
Term
| When inserting a Coude catheter, what way should the tip be pointed? |
|
Definition
|
|
Term
| How many times do you betadyne before inserting a catheter? |
|
Definition
|
|
Term
| What do you inflate a catheter baloon with? |
|
Definition
|
|
Term
| What type of catheter can be used for male incontinence? |
|
Definition
| External (condom) Catheter |
|
|
Term
| If a foley is contraindicated and a pt needs bladder decompression, what should be done? |
|
Definition
|
|
Term
| How often should a suprapubic catheter be replaced? |
|
Definition
|
|
Term
| Where is a gown considered sterile? |
|
Definition
| from shoulder to waist level and 2in above the elbows |
|
|
Term
| How long is the timed method for surgical scrubbing? |
|
Definition
|
|
Term
| How many strokes is the counted method for surgical scrubbing? |
|
Definition
| at least 30 strokes on fingernails, 20 strokes on fingers, hands, wrists and arms |
|
|
Term
| What type of immobilization should be used for an injury that is continuing to swell? |
|
Definition
|
|
Term
| What should be used for a more long term stabilization of fractures? |
|
Definition
|
|
Term
| What type of immobilzation should be used for skin/soft tissue injuries? |
|
Definition
|
|
Term
| What type of cast shoudl be used for the elbow? |
|
Definition
|
|
Term
| What type of cast should be used for the wrist or carpal fx? |
|
Definition
|
|
Term
| What type of cast should be used for the scaphoid? |
|
Definition
|
|
Term
| What type of cast should be used for the 1st MC? |
|
Definition
|
|
Term
| What type of cast should be used for the knee? |
|
Definition
|
|
Term
| What type of cast should be used for the ankle? |
|
Definition
|
|
Term
| what type of splint should be used for the 5th MCP? |
|
Definition
|
|
Term
| what type of splint should be used for the 2nd and 3rd MC and phalanges? |
|
Definition
|
|
Term
| what type of splint should be used for the distal ulnar fracture or radius fracture or lower leg? |
|
Definition
|
|
Term
| Which type of cast material is water resistant? |
|
Definition
|
|
Term
| Which type of cast material gets hot when curing? |
|
Definition
|
|
Term
| Which type of cast material is better for molding? |
|
Definition
|
|
Term
| What part of the cast acts as a barrier between the skin and itchy cast padding? |
|
Definition
|
|
Term
| What type of padding should be used for fiberglass casts? |
|
Definition
|
|
Term
| What is applied to protect a short leg cast? |
|
Definition
|
|
Term
| Which two joints do not need the joints above and below them to be immobilized as well? |
|
Definition
|
|
Term
| How far should a short arm cast be from the olecranon fossa? |
|
Definition
|
|
Term
| which part of the wrist should you cast first? |
|
Definition
|
|
Term
| Where should you begin casting a short leg cast? |
|
Definition
|
|
Term
| What do you not use with splints? |
|
Definition
|
|
Term
| The short arm ulnar gutter extends from where to where? |
|
Definition
| tip of little finger to just below elbow, makes a U shaped gutter |
|
|
Term
| What is the most serious complication of a cast? |
|
Definition
|
|
Term
| How many times a day should a pt remove the sling? |
|
Definition
| 3-4x/D for ROM of elbow and shoulder |
|
|
Term
| What is the procedure done to relieve pressure when unexpected swelling occurs in a cast? |
|
Definition
|
|
Term
| What size of sutures is used for most skin closures? |
|
Definition
|
|
Term
| What size sutures is used for fascial closure? |
|
Definition
|
|
Term
| What size sutures is used for coronary artery anastomoses? |
|
Definition
|
|
Term
| What size suture is a little larger in diameter than the human hair? |
|
Definition
|
|
Term
| What size sutures is used for the face? |
|
Definition
|
|
Term
| What size sutures is used for lacs with alot of tension? |
|
Definition
|
|
Term
| What is the main complication of braided sutures? |
|
Definition
|
|
Term
| What type of suture hold tissue temporarily? |
|
Definition
|
|
Term
| What type of suture is used for biliary and urinary anastomoses b/c of stone formation? |
|
Definition
|
|
Term
| What type of suture is used for vascular pedicles? |
|
Definition
|
|
Term
| What type of material is used for sternal and other bone approximation? |
|
Definition
|
|
Term
| what type of monofilament is stronger than nylon? |
|
Definition
|
|
Term
| What type of suture is used for fascia and small vascular anastomoses? |
|
Definition
|
|
Term
| What type of suture is used for large arteries and the aorta? |
|
Definition
|
|
Term
| What are the types of absorbable sutures? |
|
Definition
Vicryl, Chromic Catgut, PDS
(Vic the cat had PDS) |
|
|
Term
| What type of absorbable suture is used for subQ, muscle fascia and small vessel ligation? |
|
Definition
|
|
Term
| What type of absorbable suture is difficult to tie and is absorbed over 90 days? |
|
Definition
|
|
Term
| What type of absorbable suture is easy to tie and absorbed over 90 days? |
|
Definition
|
|
Term
| How long does it take for catgut suture to be absorbed? |
|
Definition
|
|
Term
| what type of suture acts like a Gigli saw and may cut thru fragile tissue? |
|
Definition
|
|
Term
| What type of needle is used for the viscera? |
|
Definition
Tapered needle
NOT cutting - could cut thru vessels |
|
|
Term
| What type of needle is used for anastamoses and fascia? |
|
Definition
|
|
Term
| What type of needle are the fibers forced apart? |
|
Definition
|
|
Term
| What type of needle passes easily thru the skin? |
|
Definition
|
|
Term
| What are the 3 parts of a suturing needle? |
|
Definition
|
|
Term
| What is the part of the suture needle where the susture is connected? |
|
Definition
|
|
Term
| What type of needle point is sharp enough to penetrate muscle, but less likely to penetrate gloved hands? |
|
Definition
|
|
Term
| What type of needle point is best to dissect friable tissues? |
|
Definition
|
|
Term
| What type of needle point is good for epidermal suturing? |
|
Definition
|
|
Term
| What type of needle point has a flattened shaft that is 3x as wide as it is thick? |
|
Definition
|
|
Term
| What type of needle point has a gradually diminishing triangular cross section as a cutting point? |
|
Definition
|
|
Term
| What type of needle point is used for delicate tissue such as the peritineum? |
|
Definition
|
|
Term
| What type of needle point is used to secure surgical stitches and has 3 cutting surfaces? |
|
Definition
|
|
Term
| What type of needle point has one outside edge and two edges near the tip and is used for tough tissue such as ligaments? |
|
Definition
|
|
Term
| Where do you grasp the needle with the needle driver? |
|
Definition
| 2/3 distance from the tip w/ slight outward angle |
|
|
Term
| How long should you keep dry a sutured wound? |
|
Definition
|
|
Term
| Can a person with skin adhesives take a shower? |
|
Definition
| Yes, but no submersion (swimming) |
|
|
Term
| If there is dead tissue and foreign bodies in a wound what should you do? |
|
Definition
| Debride the wound & irrigate |
|
|
Term
| What is the maximum permissible dose of lidocaine without epi? |
|
Definition
|
|
Term
| What is the maximum permissible dose of lido with epi? |
|
Definition
|
|
Term
| What preservatives are in multi-dose bottles of anesthetics that cause an allergic response? |
|
Definition
|
|
Term
| Allergic responses to paraben preservatives are common with what type of anesthetics? |
|
Definition
|
|
Term
| What type of anesthetics constitute the "true allergies"? |
|
Definition
|
|
Term
| Adding epi to local anesthetics does what to the duration of it? |
|
Definition
|
|
Term
| What structures should local anesthetics with epi NOT be given in? |
|
Definition
| ears, nose, fingers, toes, penis |
|
|
Term
| If a pt has allergies to amides and esters, what should be given? |
|
Definition
| benadryl, normal saline, no anesthesia, or conscious sedation |
|
|
Term
| What should you do when giving local anesthetics to avoid systemic injection? |
|
Definition
|
|
Term
| What can you add to local anesthetics to reduce the pain? |
|
Definition
| buffer with sodium bicarb |
|
|
Term
| What does adding sodium bicarb do to the shelf-life of local anesthetics? |
|
Definition
|
|
Term
| Which type of local anesthetics can you NOT buffer with bicarb? |
|
Definition
|
|
Term
| What type of anesthesia can be used for short procedurees before local injections and does not distort the anatomy? |
|
Definition
|
|
Term
| What is a major contraindication for amide anesthetics? |
|
Definition
|
|
Term
| What is a major contraindication for ester anisthetics? |
|
Definition
|
|
Term
| What areas on the body are topical anisthetics better on? |
|
Definition
|
|
Term
| What is the biggest length a lac can be to use a topical anisthetic? |
|
Definition
|
|
Term
| What type of nerve block has a much lower risk of ischemia and allows for a larger amt to be injected w/o risking tissue damage? |
|
Definition
|
|
Term
| What two nerves are blocked with a digital N. block? |
|
Definition
| Volar and dorsal digital nerves |
|
|
Term
| What two places can you inject for a digital N. BLock? |
|
Definition
| into the web spaces or metatarsal heads |
|
|
Term
| What type of anesthesia would be preferred for multiple lacerations or contaminated wounds? |
|
Definition
|
|
Term
| what type of would healing is where you close all of the layers of the wounds? |
|
Definition
|
|
Term
| What type of wound healing has the best chance for minimal scarring? |
|
Definition
|
|
Term
| Primary closure for a wound cannot be used if the wound has been open for greater than how long? |
|
Definition
|
|
Term
| What type of wound healing is where just the deep layers are closed and superficial left open? |
|
Definition
|
|
Term
| What type of wound healing is best for infected wounds? |
|
Definition
|
|
Term
| What type of wound healing is where the deep layers are closed by primary, but superficial left open until 4-5days after, then they are closed? |
|
Definition
| Tertiary intention (delayed primary closure) |
|
|
Term
| What is the first phase of wound healing? |
|
Definition
| inflammatory phase (starts w/in hours) |
|
|
Term
| What phase of wound healing continues up to 2 years? |
|
Definition
|
|
Term
| What exam should be done before and after wound anesthesia? |
|
Definition
|
|
Term
| What types of wounds cannot be closed with primary intention? |
|
Definition
| stab wounds and punctures |
|
|
Term
| What type of wound classification is where incisions are made with aseptic technique and do not involve the GI, GU or resp. tract? |
|
Definition
|
|
Term
| What type of wound classification is where incisions are made with aseptic technique and do involve the GI, GU or resp. tract? |
|
Definition
|
|
Term
| What type of wound classification has gross spillage of stool or bile into the wound? |
|
Definition
|
|
Term
| What type of wound classification has an established infection in the tissue before the wound is made? |
|
Definition
|
|
Term
| What type of wound classification would I&D of an abcess be considered? |
|
Definition
|
|
Term
| What size of syringe should be sued for irrigation of a wound? |
|
Definition
| 60mL syringe with 21G catheter |
|
|
Term
| What is the minimun amt of irrigation solution that should be used to irrigate? |
|
Definition
|
|
Term
| What type of fluid should you NOT use for irrigating a wound? |
|
Definition
|
|
Term
| What is the term for seperating tissue from wound to aid in either wound approximation or to remove necrotic tissue? |
|
Definition
|
|
Term
| What degree should you insert the needle in for suturing? |
|
Definition
|
|
Term
| Which type of suture technique will get the best eversion? |
|
Definition
|
|
Term
| At what time can you take out facial suture? |
|
Definition
|
|
Term
| At what time can you take out scalp sutures? |
|
Definition
|
|
Term
| At what time can you take out trunk sutures on the chest/abdomen? |
|
Definition
|
|
Term
| At what time can you take out trunk sutures in the back? |
|
Definition
|
|
Term
| At what time can you take out non-joint extremity sutures? |
|
Definition
|
|
Term
| At what time can you take out joint surface extremity sutures? |
|
Definition
|
|
Term
| What is bleeding into the nail space between the nail bed and fingernail? |
|
Definition
|
|
Term
| A pt has a crushed nail with a large subungual hematoma, should the hematoma be evacuated? |
|
Definition
| No, not for a crushed nail, fractured distal phalanx, melanoma, or acrylic nails |
|
|
Term
| what is the most common complication of subungual hematoma evacuation? |
|
Definition
|
|
Term
| I&D of an abcess should NOT be done on what area? |
|
Definition
| facial faruncles w/in triangle formed by bridge of nose and corner of mouth, or abcesses near rectum or genitalia |
|
|
Term
| Which organisms cause skin abscesses? |
|
Definition
|
|
Term
| What should you clean an abcess with before drainage? |
|
Definition
|
|
Term
| what type of anethesia technique should be used for I&D of an abcess? |
|
Definition
|
|
Term
| Where should you put the incision for I&D of an abcess? |
|
Definition
|
|
Term
| What tool should you break up the loculations of an abcess with? |
|
Definition
|
|
Term
| What type of gauze should you pack with after an I&D of an abcess? |
|
Definition
|
|
Term
| how often should the packing be changed for an I&D of an abcess? |
|
Definition
|
|
Term
| Are systemic abx needed for healthy pt that had an abcess I&D? |
|
Definition
| No, only for those immunocompromised, near lymph or with active cellulitis |
|
|
Term
| What oral abx would be given to a pt with a re-collection of pus? |
|
Definition
| keflex/duricef or clincamycin |
|
|
Term
| What is termed a deliberate destruction of diseased tissue? |
|
Definition
|
|
Term
| What layer of the skin does cryosurgery affect? |
|
Definition
|
|
Term
| Is anesthesia needed in cryosurgery? |
|
Definition
|
|
Term
| Is cryosurgery better for light or dark skinned pts? |
|
Definition
|
|
Term
| Can cryosurgery be used for basal cell CA? |
|
Definition
|
|
Term
| Can cryosurgery be used for conyloma accuminata? |
|
Definition
|
|
Term
| Can cryosurgery be used when tissue pathology is required? |
|
Definition
| No, it destroys the tissues |
|
|
Term
| At what temperature do cells begin to freeze with cryosurgery? |
|
Definition
|
|
Term
| At what temperature does tissue destruction occur with cryosurgery? |
|
Definition
|
|
Term
| At what temperature are malignant cells destroyed with cryosurgery? |
|
Definition
|
|
Term
| At what temperature is considered the lethal zone with cryosurgery? |
|
Definition
|
|
Term
| Which toes do ingrown toenails usually occur? |
|
Definition
|
|
Term
| What is the most common cause of ingrown toenails? |
|
Definition
| improper trimming of the nails |
|
|
Term
| Should a toenail be removed if it is infected? |
|
Definition
|
|
Term
| What type of anesthesia technique should be used for removing a toenail? |
|
Definition
|
|
Term
| When should you always remove rings? |
|
Definition
| any upper extremity injury |
|
|
Term
| A ring is found to be deeply embedded in a pts finger, should it be removed? |
|
Definition
| No, not with conventional means |
|
|
Term
| What is the first method that should be used for ring removal? |
|
Definition
|
|
Term
| What is the second method that should be used for ring removal? |
|
Definition
|
|
Term
| What size of silk should be used for the string wrap method of ring removal? |
|
Definition
|
|
Term
| What surface of the hand should the ring cutter be used on? |
|
Definition
|
|
Term
| How many spots should you cut a ring before removing it? |
|
Definition
|
|
Term
| What should be used before removal of a tick to prevent infection? |
|
Definition
|
|
Term
| Which way should you pull on a tick to remove it? |
|
Definition
|
|
Term
| What should be done if the head of the tick comes off when you pull it out and is left in the skin? |
|
Definition
|
|
Term
| What is the method for removing a fishhook when it is over taught surfaces overlying bone or muscle? |
|
Definition
| Anglers string yank method |
|
|
Term
| Which type of fishhook removal does not use anesthesia? |
|
Definition
| angler's string yank method |
|
|
Term
| Which type of fishhook removal method should be used when it is embedded deeply or on a flaccid surface like an earlobe? |
|
Definition
|
|
Term
| Which size of needle should be used for the barb sheath method of fishhook removal? |
|
Definition
|
|
Term
| What is the most common method of fishhok removal? |
|
Definition
|
|
Term
| Which method of fishhok removal do you push the tip through the surface and cut off the barb? |
|
Definition
| traditional pull through method |
|
|
Term
| Which type of suture is best for mucosal areas like the mouth and tongue? |
|
Definition
|
|
Term
| When cleaning a wound how many times should you repeat the cleansing agent around the edges of the wound? |
|
Definition
|
|
Term
| What type of suturing techniques is most comon? |
|
Definition
|
|
Term
| What type of suturing technique is best for long linear wounds? |
|
Definition
| Continuous percutaneous suture |
|
|
Term
| What type of suturing technique is good to close dead space? |
|
Definition
|
|
Term
| Which type of suture technique is best ofr scarring purposes? |
|
Definition
| Continuous subcuticular sutures |
|
|
Term
| What type of suture technique is best for closing the tips of skin flaps? |
|
Definition
| Horizontal half-buried mattress sutures |
|
|
Term
| What type of suture technique is best for very thin or lax skin? |
|
Definition
| vertical mattress sutures |
|
|
Term
| What type of suturing technique is best for deep wounds of the scalp? |
|
Definition
|
|
Term
| How far apart should simple interrupted sutures be? |
|
Definition
|
|
Term
| At what angle do you make the other 2 cuts for z-plasty skin repair? |
|
Definition
| 60 degree angles from lac |
|
|
Term
| What type of skin repair should be used for against the grain lacs? |
|
Definition
|
|
Term
| At what angle should the end of a redundant side of a dog-ear deformity be cut? |
|
Definition
|
|
Term
| For what deformity should a "hockey stick" cut be used? |
|
Definition
|
|
Term
| How old does a wound have to be before it is considered "tetanus prone"? |
|
Definition
|
|
Term
| How deep are tetanus prone wounds? |
|
Definition
|
|
Term
| Are stellate and avulsion wounds considered tetanus prone? |
|
Definition
|
|
Term
| Are puncture and crush wounds considered tetanus prone? |
|
Definition
|
|
Term
| If a pt has a tetanus prone wound, and UTD immunizations what should they be given? |
|
Definition
| Td if >5 yrs since last one |
|
|
Term
| If a pt has a tetanus prone wound, and inadequate immunizations what should they be given? |
|
Definition
| TIG (tetanus immunoglobulin) + 3 doses of Td (active form) |
|
|
Term
| If a pt has a non-tetanus prone wound, and UTD immunizations what should they be given? |
|
Definition
|
|
Term
| If a pt has a non-tetanus prone wound, and inadequate immunizations what should they be given? |
|
Definition
|
|
Term
| What type of contracture is an upper extremity contracture of compartment syndrome? |
|
Definition
|
|
Term
| How long should a pt be non-weight bearing with a leg cast? |
|
Definition
|
|
Term
| What is the pain from with a subungual hematoma? |
|
Definition
|
|
Term
| With the cotton tipped applicator or swab method of cryosurgery, how many time should you apply? |
|
Definition
| until there is an ice ball 1-2mm beyond lesion |
|
|
Term
| For the spray method of cryosurgery should it be done with a continuous spray or a pulsatile spray? |
|
Definition
|
|
Term
| Which method of cryosurgery is best for malignant lesions? |
|
Definition
|
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Term
| What are the two types of partial thickness skin biopsies? |
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Definition
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Term
| which type of partial thickness biopsy should be used for basal cell CA and other superficial lesions? |
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Definition
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Term
| which type of skin biopsy should be used for protruding or raised lesions? |
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Definition
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Term
| Which types of skin biopsies utilize anesthesia? |
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Definition
| Punch, shave, excisional biopsy |
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Term
| Which way should you stretch a lesion for a punch biopsy? |
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Definition
| opposite the lines of langer |
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Term
| Which places can you NOT use a punch biopsy? |
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Definition
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Term
| Which type of anesthesia has a rapid onset and good duration? |
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Definition
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Term
| Which type of anesthesia is used for a longer duration? |
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Definition
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Term
| Which layers can you inject local anesthetics into? |
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Definition
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Term
| Which topical anesthetic is used for deeper anesthesia of mucous membranes? |
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Definition
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Term
| Which type of topical anesthesia is best for intact skin and NOT used on mucous membranes or conjunctiva? |
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Definition
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Term
| If acid or alkaline is ingested, should an NG tube be placed? |
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Definition
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Term
| What type of catheter can only be used in men? |
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Definition
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Term
| If a pt has a bloody urethral meatus, should a catheter be placed? |
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Definition
| No, do a urethrogram first |
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Term
| Which way should you hold the penis for inserting a catheter? |
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Definition
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Term
| In a pt who is not circumcised, should you retract the foreskin to apply a Texas catheter? |
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Definition
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Term
| Are the towel clips in a surgical field considered contaminated or sterile? |
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Definition
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